Sprains, Strains and Muscular Gains - Get Relief with Platelet Rich Plasma Therapy

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For many of us, tendonitis is a part of life. With our innovative Platelet Rich Plasma (PRP) therapy, it doesn’t have to be. Dr. Sharma offers expertise in a new therapeutic procedure that can provide …

For many of us, tendonitis is a part of life. With our innovative Platelet Rich Plasma (PRP) therapy, it doesn’t have to be. Dr. Sharma offers expertise in a new therapeutic procedure that can provide natural and accelerated healing of tendon injuries & osteoarthritis.

Learn how PRP can:
• accelerate healing by using blood’s own curative
properties
• naturally remedy injured tissue or osteoarthritis
• treat sprains and strains with a non-surgical healing procedure

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  • 1. Advances in the Treatment of Tendon Injuries Rishi Sharma, MD, Sports Medicine www.SpringfieldClinic.com
  • 2. Common Tendon Problems
    • Shoulder
    • Elbow
    • Wrist
    • Hip
    • Knee
    • Ankle & Foot
  • 3. Tendon: What is it?
    • Fibrous connective tissue that connects muscle to bone
  • 4. Tendon: What is the function?
    • Acts as a spring to collect and release force
  • 5. Common Names for Tendinopathy
    • Tendonitis
    • Peritendonitis
    • Tendinopathy
    • Tenosynovitis
    • Apophysitis
    • Insertitis
    • Bursitis
    • Enthesopathy
  • 6. How is it injured?
    • Tendinopathy
      • Degeneration of the tendon
    • Tendinitis
      • Overuse
    • Tendon Tears
      • Injury
  • 7. Microscopic Tendon RUPTURED TENDON ACHILLES TENDINOPATHY NORMAL TENDON ROTATOR CUFF TENDINOPATHY
  • 8. Can the tendon heal itself?
    • Depends
      • Full-thickness
        • usually no
      • Tendinopathy
        • usually yes
  • 9. How does tendinopathy heal?
    • Inflammation
    • Repair
    • Remodeling
  • 10. How does tendinopathy heal?
    • Inflammation
    • Repair
    • Remodeling
  • 11. How does tendinopathy heal?
    • Inflammation
    • Repair
    • Remodeling
  • 12.  
  • 13. What is the problem with the tendon?
    • Tendinopathy
    • Full-thickness tear
  • 14. Etiology of Tendon Disorders
    • Repetitive and prolonged exertion
    • Sudden increase in training
    • Pre-existing tendinosis
    • Acute trauma
  • 15. Shoulder
    • Rotator Cuff Tendon
      • Continuum from:
        • Tendinopathy to Full-thickness Rotator Cuff Tear
    • Biceps Tendon
  • 16. Rotator Cuff Pain
    • Insidious onset of pain
    • Middle aged
    • Increasing pain with activity
    • Can have decreased range of motion or weakness
  • 17. Elbow
  • 18. Elbow
    • Tennis Elbow
      • Lateral Epicondylitis
    • Golfer’s Elbow
      • Medial Epicondylitis
  • 19. Tennis Elbow
  • 20. Tennis Elbow
    • Common extensor tendon
  • 21. Golfer’s Elbow
  • 22. Wrist
    • DeQuervain’s tenosynovitis
  • 23. Hip
    • Trochanteric Bursitis
  • 24. Hip
    • Hamstring
    • Hip Flexors
  • 25. Knee
    • Quadriceps tendon
    • Patellar tendon
  • 26. Foot & Ankle
    • Achilles tendon
    • Peroneal tendon
    • Tibialis posterior tendon
    • Tibialis anterior tendon
  • 27. Medications
  • 28. Bracing
  • 29. Physical Rehabilitation
  • 30. Corticosteroid Injections
  • 31. Topaz - Radiocoblation
  • 32. Surgical Treatment
    • Achilles Tendinopathy
  • 33. Emerging Treatments
    • Topical Glycerol Trinitrate
    • Proliferation Therapy
    • Botulinium Toxin A
    • Acupuncture
    • Low Level Laser Therapy
    • Platelet Rich Plasma
  • 34. Platelet-Rich Plasma
    • Sample of blood with a platelet concentration of at least 1,000,000 platelets/micromL in 5 mL of plasma
  • 35. Platelet-Rich Plasma
  • 36. Types of Platelet Rich Plasma
    • Tier One
      • Arteriocyte Magellan
      • Harvest SmartPRep
      • Biomet GPS II
    • 4-5 x’s baseline platelet concentration
    • Tier Two
      • Arthrex
      • Cascade
    • 2-3 x’s baseline concentration
  • 37. Tier One: PRP
    • Arteriocyte Magellan
  • 38. Tier Two
    • Arthrex
  • 39. Platelet-Rich Plasma
    • What do platelets contain?
      • alpha granules
        • PDGF
        • VEGF
        • EGF
        • IGF-1
  • 40. How do we know where to inject?
  • 41. Ultrasound
    • Patellar tendinopathy
  • 42. Ultrasound
    • Achilles tendinopathy
  • 43. Rotator Cuff Disorders
    • Diagnostic Ultrasound
      • Partial and Full thickness tears
      • Tendinopathy
  • 44. Evidence of PRP
    • Double blind randomized study showed PRP better than corticosteroid at 26 and 52 weeks
      • AJSM Feb 2010
  • 45. PRP Evidence
    • Mishra, et. al; in a pilot study; has had success in the management of chronic elbow tendinosis with PRP
    • Scarpone, et. al; showed statistical significance in pain scores for the management of rotator cuff tendonipathy with PRP
    • Barret, et. al. had found significant symptom relief in patients with plantar facciitis who underwent PRP therapy.
  • 46. May not work for everyone